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Home My WebLink About60765D - SullivantCAMA / DREDGE & FILL / NO. R ENERAL PERMIT ✓ Previous permit # New ❑Modification -Complete Reissue —'Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC I 110 Rules attached. t Name Project Location: Countyi iy"V w; cu. Street Address/ State Road/ Lot #(s) pp State��_ ZIP+_� Lj1 Vi Y'V i -( ti,�j %j� t �K 1� ( 110 )�Z i j9 _ Fax # ( ) SubdivisioAn_ , + V�✓y i.e W A (r,L� zed Agent l� 4AAA V 5f�(f K1f)O zhc�, ity�> i i.16 � ZIP CWj EWvPTA ES PTS I ne # (A(C) �0336 Ri er Basin i,-U ►1 OEA ❑` HHF LJ IH ❑ UBA N/A Ad'. Wtr. Bod }H K.1 V-P ✓ n - PWS: ❑FC: � y yes' / no PNA yes no Crit.Hab. yes(no Closest Maj. Wtr. Body �� 31f Project/ Activity lock) length (Scale: m(s) X T �XI�hSGj pier(s) length II umber ad/ Riprap length vgdistance offshore _..a— iax distance offshore (f;y t4 :hannel lY ubic yards rmp ,use/ Boatlift 13 X l3 =210 Bulldozing _ I ne Length, r -- ... not sure yes-- gs: not sure yes no .._, rium: n/a yes no — , yes no QuL I � Attached: yes no ` L P- ing permit may be required `b'y: �U t�1 (A�-tlr f ' 1 / ❑ See note on back regarding River Basin r ' SnPfiaj rnnAti- 4' 1-7t, A n iA A lk N tAAA 0; / 1 / A I C� I 1•� Wirth CArniinq D4nartment of Rvirririnrieril and Naturai Resources r nkinn of r'.na-,tal Mananmmpnt ;8.1„ r,,, n-4 ,., Dee Free, ,11r LccYliy S VI l/MY - — -y-- YGI ►Ivi rlirortnr Seca AQPNT Ai i T H(-)Pi A T iCjN FORM je 1of Property Owner Applying for Permit: Name of Authorized Avert Tor trus pro eu.. Jz h,nla V .f i ner's Mailing Address: u � cam► �'-7 �— Hyulit b ladru„y r-\uul gyp. t�uc� agq (..Q_ )Ile III uaulbr ,�ic�; ,Sa3 �a� nl,c..o wJllmhcr�Ji% 31�7-y3 s :rtifv that I have authorized the agent listed above to act on my behalf, for the purpose of applying and obtaini� all CAMA Permits necessary to install or construct the following (activity) - lb bG/ UI II.CI uvu w r culu u u u wa+w j P C �27� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to :1-1 A S,1L' fQ n I (:dame of Property Owner) property located at 'a n t-I,' f.a-C V. G. j (Lot, Block, Road, etc.) on �`7►1�� , in ; , N.C. (Waterbbody) (Town and/or CQIUn �) Applicant's phone #:7w o�/�S� Mailing Address: / c9 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15) from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do not wish to waive e. � (f • I do wish to waive that setback requirement. DESCRIPTION A-N-D/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) & C�� Y�As (Information for Property Owner Applying for Permit) (Riparian Property Owner Information) Mailing Address Signature I 111-1CU IVIHIL.r-. 1 • (Domestic Mail Only; No Insurance Coverage Provider i_ _ t� J lti Postage M Certified Fee Postmark » Return Receipt Fee O (Endorsement Required) Here E:3 Restricted Delivery Fee Ir(Endorsement Required) M Total Postage & Fees C3Sent To EZI-C- Y�--+ - - - ------------------------------------------ Street, Apt. No.:------ or PO Box No. `f` --------------- city, state, ZIP+4LO's PS Form :•0 August 2006 See Reverse for instructions ■ Complete Items 1, 2. and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: P, z,,L,zth Dhrt✓t .T Ug, a sl9na�e i X j ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (extra Fee) ❑ Yes 2. Article Number 7 010 3090 0003 7159 2180 (Transfer from servicf PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 Richardson Construction General Contractor NC License #51895 Will Richardson 910-842-5596 (Office) 3235 Seacrest Ave. SW Supply, NC 28462 Elizabeth Ehret im. Will Richardson Adjacent Property Owners Form n= Elizabeth Ehret Ehret, 910-367-0335(Cell) 910-842-5597(Fax) n and Brenda Sullivan have purchased the property beside yours and they have asked my company tc tall a pier/boat lift for their family. I have enclosed a copy of the drawing to be submitted to CAMA foi Tmit and the adjacent property owners form for you to review and sign. If you have no objections to tf istruction, initial the two places marked and fill in the bottom section of the form and return to the tress above or email/fax. I will also try to contact you by phone today. November 15t` 2012. If we hav nmunicated and completed the form by email or fax, you do not have to respond to this mailing. construction will stay approx. 20 feet from your property. CAMA requires that we notify adjacent iperty owner for any construction, regardless of the distance and that an approval signature is require construction is within 15 feet of your property. ise contact us with any questions and/or concerns reference this request. The cell number/email is th ter contact. Thank you for your help and please let us know if we can be of any assistance to you in t are. We are a fully licensed general contracting company for residential, commercial and marine itracting needs. CERTIFIED MAIL — RETURN RECEIPT RE QU. ESTED DIVISION OF COASTAL INL42 AGEMENT ADJACENT RIPARIAN PROPERTY ONNT ER STATENIErT me of Property Ovner: ak rl SA � L Lin 1i .dress of Property: I A6L, (Lot or Street 4, Street or Road, City & County) ,plicant's phone 4: ?]0 5 2�— Mailing Address: 7] I 4-1 ereby certify that I own property adjacent to the above referenced property. The individual applying for this per described to me as shown on the attached drawing the development they are proposing. _<1 description of drawi th dimensions, must be provided with this letter. I have no objections to this proposal. I have objections to this proposal. you have objections to what is being proposed, you must notify the Division of Coastal Management (DC? writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive I ilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is asidered the same as no objection if You have been notified by Certified Mail. WAIVER SECTION nderstand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance ' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the :)ropriate blank below.) I do wish to waive the 15' set back requirement. I do not wish to waive the 15' set back requirement. roperty Owner Information) ,c Q ;nature nt or Type Name (Riparian Property Owner Information) Signature Print or Type Name iiling Address - n i . i r'. n lS i t r "N Mailing Address Adjacent Property Owner Sue Cochran 1246 Riverview Dr SW Shallotte NC 28470 910-755-6007 Property Owner: John Sullivan 711 Tatum Rd 3hallotte NC 28470 310-523-2185 Not To Scale 46FT +/- LOT 10FT +/- N N 13FTX13FT 61N BOAT LIFT 12' Shallotte River Adjacent Property Owner aso R��wr�,� Dr�� s� >I�allo44c � �j�l'unSv�n�.�. �� _�c��►—t Division of Coastal Mgt. Habitat Impact Computer Sheet )licant: O�SV I It,\] olvi :e: Z (P ) z Permit #: qr Glo� scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. )itat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount Dredge ❑ Fill ❑ Both ❑ Other 3 20 Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ I d - I LLr'